Heart Rhythm Community
Teenager with ST elevations
About This Community:

A community of people experiencing Heart Rhythm concerns. Ask a question, join a conversation, share experiences: symptoms, management, and treatment.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Teenager with ST elevations

My 18 year old son was seen at an ER today for chest pain which was worse with deep breathing.  The 12 lead ECG was read as "abnormal" by the NP with ST segment elevations.  A chest x-ray was taken and the results were normal.  The ER doc said that the pain was probably pleurisy and instructed him to take Ibuprofen for the next few days.  Should I have my doctor refer my son to a cardiologist to repeat the ECG, or is it likely that the ST segment elevations were entirely normal?
Related Discussions
257552_tn?1404606154
Hi,

A casual look online showed that ST Segment Elevation can be caused by, among other things,  Pericarditis (inflammation of the sac around the heart) or some forms of ST Segment Elevation can be normal in young adults.

Pericarditis causes chest pain that can be aggravated by breathing in deeply (according to what I just read). Also, the article says that Pericarditis most often effects men between 20 and 50 years old. (Your son is close enough).

If it were me, I would notify my Family Doctor in the morning and ask for his/her opinion. I would mention the ST Segment Elevation and ask about the possibility of Pericarditis being the problem.

The article went on to say that Pericarditis can be caused by an infection, and is sometimes treated with Antibiotics and anti-inflammatory drugs. It usually takes one to three weeks to go completely away and usually doesn't cause any serious problems.

The Family Doctor can obtain the results from the ER to make a further determination. If it were Pericarditis, your son should be seen by your Family Doctor, as scheduling for a Cardiologist can be time consuming.

Best of health to you and yours.

P.S. The Pericarditis information was from the American Heart Association Web Site.
Blank
Post a Comment
To
Top Arrhythmias Answerers
612551_tn?1247839157
Blank
Jerry_NJ
NJ
995271_tn?1408549100
Blank
itdood
PA
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
1807132_tn?1318747197
Blank
michellepetkus
Chicago, IL
221122_tn?1323014865
Blank
RNRita
Whitehall, PA
1423357_tn?1414258965
Blank
tom_h
Central, MA
Recent Activity
1236893_tn?1408490528
Blank
How Bad Science and Big Business Cr...
Aug 02 by gymdandee
Avatar_m_tn
Blank
Misoitani is .. Comment
Aug 01
1236893_tn?1408490528
Blank
facts About Meat
Jul 31 by gymdandee
Heart Rhythm Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1371753642
Blank
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank
Top Arrhythmias Answerers
612551_tn?1247839157
Blank
Jerry_NJ
NJ
995271_tn?1408549100
Blank
itdood
PA
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
1807132_tn?1318747197
Blank
michellepetkus
Chicago, IL
221122_tn?1323014865
Blank
RNRita
Whitehall, PA
1423357_tn?1414258965
Blank
tom_h
Central, MA